抑郁自评量表和贝克抑郁量表区分抑郁症严重程度的准确度
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重庆市精神卫生中心院级科研项目(2019-yjkt-17)


Study on distinguishing the severity of depression with Self-Rating Depression Scale and Beck Depression Inventory
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    摘要:

    目的 对抑郁自评量表和贝克抑郁量表诊断抑郁症和区分抑郁症严重程度的准确性进行 评价。方法 选取 2018 年 8 月至 2020 年 8 月在重庆市精神卫生中心就诊的门诊和自愿住院 200 例以情 绪和睡眠问题为主诉的患者,以 ICD-10 的条目标准进行抑郁症的诊断和抑郁症严重程度的评估,同时 完成抑郁自评量表和贝克抑郁量表的评定,采用受试者工作特征(ROC)曲线下面积评价两个抑郁量表 的准确性。结果 抑郁自评量表和贝克抑郁量表具有明显的相关性(r=0.848,P< 0.001),两个量表诊断 抑郁症和区分抑郁症严重程度的 ROC 曲线下面积差异无统计学意义(P> 0.1)。随着抑郁程度的加重, ROC 曲线下面积逐渐增大(0.754/0.761~0.904/0.911),Youden 指数逐渐增加(0.498/0.403~0.768/0.751), 阳性似然比逐渐增加(2.71/2.14~9.63/10.1),阳性预测值逐渐增加但不理想(17.2%/17.8%)。结论 抑郁 自评量表和贝克抑郁量表诊断抑郁症和区分抑郁症严重程度的准确性相当,且抑郁程度越重,两种量 表的评定就会越准确,两种量表有特定的使用目的和特定的人群,不能随意推荐使用。

    Abstract:

    Objective To evaluate the accuracy of the Self-Rating Depression Scale and Beck Depression Inventory in diagnosing depression and distinguishing the severity of depression. Methods From August 2018 to August 2020, a total of 200 voluntary patients with mood and sleep problems in Chongqing Mental Health Center were enrolled. The diagnosis of depression and the severity of depression were assessed according to the ICD-10 entry criteria, and the Self-Rating Depression Scale and Beck Depression Inventory were evaluated at the same time. The accuracy of the two depression scales was evaluated by area under ROC curve. Results There was a significant correlation between the Self-Rating Depression Scale and Beck Depression Inventory (r=0.848, P < 0.001). The area under the ROC curve for diagnosing depression and distinguishing the severity of depression were similar and there was no statistical difference between the two scales (P > 0.1). With the aggravation of depression, the area under ROC curve gradually increased (0.754/0.761-0.904/0.911), and Youden index gradually increased (0.498/0.403-0.768/0.751). The positive likelihood ratio increased gradually (2.71/2.14-9.63/10.1), and the positive predictive value increased gradually but was not ideal (17.2%/17.8%). Conclusions The accuracy of the Self-Rating Depression Scale and the Beck Depression Inventory in diagnosing depression and distinguishing the severity of depression is similar, and the more severe the depression is, the more accurate the evaluation of the two scales will be. The two scales have specific purposes and specific populations, so they cannot be used arbitrarily.

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袁刚 赵晋 郑冬 刘宝燕.抑郁自评量表和贝克抑郁量表区分抑郁症严重程度的准确度[J].神经疾病与精神卫生,2021,21(12):
DOI :10.3969/j. issn.1009-6574.2021.12.006.

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  • 在线发布日期: 2021-12-29